Abstract
Interposing vascularized flaps between urethra and skin sutures is recommended in hypospadias surgery to decrease the rate of urethrocutaneous fistula. For this purpose nine patients with failed results after at least one hypospadias surgery and with insufficient foreskin were included in the study. Tubularized incised plate uretroplasty and tunica vaginalis reinforcement flap were performed to all patients with normal urethral plate. After a mean follow-up of 8.9 months (range 3–20) only one patient had developed a fistula. We believe that tunica vaginalis reinforcement flap decreases fistulas in reoperative hypospadias surgery in patients with insufficient foreskin or with a circumcised penis.
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References
Bellman AB (1988) De-epitheliazed skin flap coverage in hypospadias repair. J Urol 140:1273–1276
Borer JG, Bauer SB, Peters CA et al (2001) Tubularized incised plate urethroplasty: expanded use in primary and repeat surgery for hypospadias. J Urol 165:581–585
Duckett JW (1998) Hypospadias. Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campell’s urology, vol 2, 7th edn. Saunders, Philadelphia, pp 2093–2119
Oswald J, Körner I, Riccabona M (2000) Comparison of the perimeatal-based flap (Mathieu) and the tubularized incised-plate urethroplasty (Snodgrass) in primary distal hypospadias. BJU Int 85:725–727
Retik AB, Borer JG (1998) Primary and reoperative hypospadias repair with the Snodgrass technique. World J Urol 16:186–191
Retik BA, Mandell J, Bauer SB, Atala A (1994) Meatal based hypospadias repair with the used of a dorsal subcutaneous flap to prevent urethrocutaneous fistula. J Urol 152:1229–1231
Retik AB, Keating M, Mandell J (1988) Complications of hypospadias repair. Urol Clin North Am 15:223–236
Rich MA, Keating MA, Snyder HM et al (1989) Hinging the urethral plate in hypospadias meatoplasty. J Urol 142:1551–1553
Shanberg AM, Sanderson K, Duel B (2001) Re-operative hypospadias repair using the Snodgrass incised plate urethroplasty. BJU Int 87:544–547
Smith D (1973) A de-epithelialized overlap, flap technique in the repair of hypospadias. Br J Plast Surg 26:106–108
Smith DP (2001) A Comprehensive analysis of a tubularized incised plate hypospadias repair. Urology 57:778–782
Snodgrass WT (1999) Tubularized incised plate hypospadias repair: indications, technique and complications. Urology 54:6–11
Snodgrass W (1994) Tubularized, incised plate urethroplasty for distal hypospadias. J Urol 151:464–465
Snodgrass W, Koyle M, Manzoni G et al (1998) Tubularized incised plate hypospadias repair for proximal hypospadias. J Urol 159:2129–2131
Snow BW (1986) Use of tunica vaginalis to prevent fistulas in hypospadias repair. J Urol 136:861–863
Snow BW, Cartwright PC, Unger K (1995) Tunica vaginalis blanket wrap to prevent urethrocutaneous fistula: an 8-year experience. J Urol 153:472–473
Yang SSD, Chen SC, Hsieh CH, Chen YT (2001) Re-operative Snodgrass procedure. J Urol 166:2342–2345
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Gürdal, M., Karaman, M.İ., Kanberoğlu, H. et al. Tunica vaginalis reinforcement flap in reoperative Snodgrass procedure. Ped Surgery Int 19, 649–651 (2003). https://doi.org/10.1007/s00383-003-0989-2
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DOI: https://doi.org/10.1007/s00383-003-0989-2